INNOVATIVE WOUND CARE ASSOCIATES INC NPI 1356782809

NPI Information

  • NPI: 1356782809
  • Provider Name: INNOVATIVE WOUND CARE ASSOCIATES INC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 790 BOARDMAN CANFIELD RD STE 3
    BOARDMAN, OH
    ZIP 44512
  • Phone: (330) 758-4862

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NPI Details

INNOVATIVE WOUND CARE ASSOCIATES INC is a vascular surgery surgery in Boardman, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. INNOVATIVE WOUND CARE ASSOCIATES INC NPI is 1356782809. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

790 BOARDMAN CANFIELD RD STE 3
BOARDMAN, OH
ZIP 44512-344
Phone: (330) 758-4862
Fax: (330) 758-4886

The provider's authorized official is John P Balko .
The authorized official title is President and has the following contact phone number (724) 347-0591.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 9/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery2227258OHIOYes

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This page was last updated on: 11/21/2025

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